Resistance Training to Treat Clinically Elevated Anxiety and Depressive
Symptoms in Young People -- A Systematic Review and Meta-Analysis
Abstract
Background Children, adolescents and young adults are
experiencing an increase in the prevalence of depressive and anxiety
symptoms. Aerobic training (AT) has been shown to be effective at
reducing symptoms, but the efficacy of resistance training (RT) in
reducing anxiety and depression levels in young individuals is unclear.
Aim To quantify the change in depressive or anxiety symptoms
following RT in young individuals. Methods We searched MEDLINE,
PsychINFO, and PubMed for articles published in English from January
1980 to February 2022 for randomised controlled trials (RCT) that
included at least 4 weeks of RT, with participants aged 26 years or
younger. A random-effects meta-analysis was used to calculate a pooled
effect size of RT pre-and post-intervention compared to control groups
and the quality of evidence was assessed using a Cochrane risk-of-bias 2
(RoB 2) and Grading of Recommendation, Assessment, Development, and
Evaluation (GRADE) criteria. Results Ten RCTs were eligible for
inclusion in the analysis. RT was associated with a significant
reduction with a large-sized mean effect in depressive (Hedge’s g=
-1.06, 95% CI -1.61 to -0.51, p<.001) and anxiety symptoms
(Hedge’s g = -1.02, 95% CI -1.50 to -0.54, p <.001).
Sensitivity analyses on the training variables were not conducted due to
the small sample and large heterogeneity, however, a summary of the
trials with a large effect size (≥-1.0) was conducted.
Conclusion RT significantly reduces depression and anxiety
symptoms in young people. Future studies exploring the effect RT
training intervention with adequate detail and in various mental health
treatment treating settings are warranted.